Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Facility		$104.30	$104.30	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $122.21	Professional		$104.30	$104.30	$122.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $138.04	Professional		$108.39	$108.39	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $33.20 / $42.89	Professional		$28.59	$33.20	$42.89
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $130.06	Professional		$122.70	$122.70	$130.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39